Electrosurgical energy adapter, electrosurgical energy control, and surgical multi-tool

Abstract

An electrosurgical system including an electrosurgical generator and an adapter connected to the electrosurgical generator. The adapter is configured to selectively transmit one or more energy outputs from the electrosurgical generator to an end effect device. At least one of the electrosurgical generator and the adapter are configured to be controlled by one or more control device. An electrosurgical system can include a control device connected to an electrosurgical generator. The control device can be configured to selectively transmit control instructions to the electrosurgical generator. The control device can be configured to receive a control signal from a user. An electrosurgical apparatus can include a pair of blades configured to deliver at least mechanical and electrical energy to tissue. Each blade can include a portion configured to protrude to the other side of a central plane. An electrosurgical apparatus can include a first tip comprising a first tip central plane and a second tip comprising a second tip central plane, wherein the electrosurgical apparatus has a first configuration wherein the first and second tips operate as forceps, and wherein the electrosurgical apparatus has a second configuration wherein the first and second tips operate as scissors. The electrosurgical apparatus can have restricted movement in the forceps configuration and limited shearing movement in the scissors configuration.

What is claimed is: 
     
       1. An electrosurgical system comprising:
 a single end-effect device configured to provide various energy effects that include (1) cut and coagulation functions through monopolar energy, (2) mechanical shearing, (3) mechanical energy, and (4) coagulation through bipolar energy; 
 an electrosurgical generator comprising separate and distinct circuits and outputs to deliver various forms of energy; 
 a control device; 
 an adapter electrically positioned between the control device and the electrosurgical generator and configured to:
 receive one or more control inputs from the control device; 
 determine a form of energy to provide to the single end-effect device based on the one or more control inputs from the control device to cause the single-end effect device to provide one or more of the various energy effects; 
 communicate a control signal based on the one or more control inputs to the electrosurgical generator to cause the electrosurgical generator to deliver the form of energy; 
 selectively transmit a first energy output to the single end-effect device responsive to a first energy output from the electrosurgical generator, the first energy output corresponding to a monopolar electrosurgery mode; and 
 selectively transmit a second energy output to the single end-effect device responsive to a second energy output from the electrosurgical generator, the second energy output corresponding to a bipolar electrosurgery mode at a different time than the monopolar electrosurgery mode; 
 
 wherein the single end-effect device includes a first tip comprising an electrode and a second tip comprising an electrode, wherein at least the electrode of the first tip is configured to be activated for the monopolar electrosurgery mode, wherein the electrodes of both the first tip and the second tip are configured to be activated for the bipolar electrosurgery mode, wherein the adapter is configured to activate either the monopolar electrosurgery mode or the bipolar electrosurgery mode through detection of a mechanical configuration of the single end-effect device. 
 
     
     
       2. The electrosurgical system of  claim 1 , wherein the adapter is configured to transmit different energy effects separately. 
     
     
       3. The electrosurgical system of  claim 1 , wherein the adapter is configured to transmit different energy effects sequentially. 
     
     
       4. The electrosurgical system of  claim 1 , wherein the single end-effect device comprises a configuration wherein the first and second tips operate as a monopolar electrode. 
     
     
       5. The electrosurgical system of  claim 1 , wherein the single end-effect device comprises a configuration wherein the first and second tips operate as bipolar forceps. 
     
     
       6. The electrosurgical system of  claim 1 , wherein the single end-effect device comprises a configuration wherein first and second tips operate as scissors. 
     
     
       7. The electrosurgical system of  claim 1 , wherein the single end-effect device is configured to have restricted movement in a forceps configuration and limited shearing movement in a scissors configuration. 
     
     
       8. The electrosurgical system of  claim 1 , wherein, when in the monopolar electrosurgery mode, the adapter is configured to prevent energy output associated with the monopolar electrosurgery mode being transmitted to another output circuit associated with the bipolar electrosurgery mode that is not being used. 
     
     
       9. The electrosurgical system of  claim 1 , wherein the monopolar electrosurgery mode and the bipolar electrosurgery mode deliver different voltage. 
     
     
       10. The electrosurgical system of  claim 1 , wherein the single end-effect device comprises a surgical hand tool configured to function as electrocoagulation bipolar forceps. 
     
     
       11. The electrosurgical system of  claim 1 , wherein the single end-effect device comprises a surgical hand tool configured for monopolar electrocoagulation, fulguration, monopolar detection, and monopolar stimulation. 
     
     
       12. The electrosurgical system of  claim 1 , wherein the adapter transmits one form of electrosurgical energy to an end effect device through a single or any number of combination of inputs. 
     
     
       13. The electrosurgical system of  claim 1 , wherein the adapter transmits one form of electrosurgical energy through a switch. 
     
     
       14. The electrosurgical system of  claim 1 , wherein the adapter transmits one form of electrosurgical energy through a sensor. 
     
     
       15. The electrosurgical system of  claim 1 , wherein the adapter transmits one form of electrosurgical energy through an algorithm. 
     
     
       16. The electrosurgical system of  claim 1 , wherein the first tip and the second tip are together to deliver energy. 
     
     
       17. The electrosurgical system of  claim 1 , wherein the electrosurgical system is configured to operate as monopolar electrocautery forceps or bipolar electrocautery forceps. 
     
     
       18. The electrosurgical system of  claim 1 , wherein the electrosurgical system is configured to operate as a two-bladed probe. 
     
     
       19. The electrosurgical system of  claim 1 , further comprising electrical leads to supply the electrodes with energy. 
     
     
       20. The electrosurgical system of  claim 1 , wherein the electrosurgical system is configured for cauterization, hemostasis, and tissue dissection. 
     
     
       21. The electrosurgical system of  claim 1 , wherein the first tip has a protrusion configured to engage with a recess of the second tip to prevent over travel between the first tip and the second tip when collapsed to a probe configuration.